Gulf Coast Therapy Group, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GULF COAST THERAPY GROUP, LLC

Practice address

905 N Navy Blvd
Pensacola, FL 32507-1274

Phone

(850) 261-0444

Fax

(850) 760-0838

NPI assigned

Mar 14, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa O'Hara

Title

Owner

Phone

(850) 261-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gulf Coast Therapy Group, LLC Doing business as

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1467100925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N NAVY BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071274",
            "telephone_number": "850-261-0444",
            "fax_number": "850-760-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N NAVY BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325071274",
            "telephone_number": "850-261-0444",
            "fax_number": "850-760-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "O'HARA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-261-0444"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275944040",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://lisa-ohara.clientsecure.me/documents",
            "affiliation": "N",
            "endpointDescription": "EHR Patient Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "905 N Navy Blvd",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325071274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gulf Coast Therapy Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Pensacola, FL
• Providers in Pensacola, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.